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Community Health Clinics Of Northeast Texas
Federally Qualified Health Center (FQHC) in Tyler, Texas
NPI 1275713976

Community Health Clinics Of Northeast Texas is a Federally Qualified Health Center (FQHC) based in Tyler, TX and is specialized in Federally Qualified Health Center (FQHC). Community Health Clinics Of Northeast Texas practices in Tyler, TX. The NPI Number for Community Health Clinics Of Northeast Texas is 1275713976 and holds a License No. (Texas).

The current practice location address for Community Health Clinics Of Northeast Texas is 928 N Glenwood Blvd, Tyler, TX and can be reached out via phone at 903-526-4900 and via fax at 903-526-4907.

Location: 928 N Glenwood Blvd, Tyler, TX, 75702-5055
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1275713976
Provider Name
Community Health Clinics Of Northeast Texas
Credential
Provider Entity Type
Organization
Address
928 N Glenwood Blvd, Tyler, TX, 75702-5055
Phone Number
903-526-4900
Fax Number
903-526-4907
Provider Enumeration Date
11/09/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1383606-17 05 TX
institution
Provider Business Practice Location Address Details
Address
928 N Glenwood Blvd
City
Tyler
State
Texas
Zip
75702-5055
Phone Number
903-526-4900
Fax Number
903-526-4907
person
Provider Business Mailing Address Details
Address
928 N Glenwood Blvd
City
Tyler
State
Texas
Zip
75702-5055
Phone Number
903-526-4900
Fax Number
903-526-4907
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
()
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
261QF0400X
License No.
()
Definition
Definition to come...
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